Individual
MISS ANDREA ROLDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
3230 I-30, STE. 100, MESQUITE, TX 75150-2664
(972) 682-1791
Mailing address
3230 I-30, STE. 100, MESQUITE, TX 75150-2664
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
817178
TX
Other
Enumeration date
12/18/2012
Last updated
12/18/2012
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